Perović S, Vukadinović V
Department of Pediatric Surgery and Urology, University Children's Hospital, Belgrade, Yugoslavia.
J Urol. 1994 Mar;151(3):711-4. doi: 10.1016/s0022-5347(17)35067-x.
A variant of the onlay island flap urethroplasty in severe hypospadias repair is described. The principles of the technique include mobilization of the urethral plate without dividing it, release of chordee, creation of a pedicle island flap on the dorsal penile skin with redundant vascularized tissue that is transposed to the ventral side of the penis by a buttonhole maneuver, and onlay of the flap to the mobilized urethral plate, covering all suture lines with a wide pedicle of flap. During the last 3 years this operation was performed in 92 patients 12 months to 19 years old with severe hypospadias. The complication rate was 5%.
描述了一种用于重度尿道下裂修复的覆盖岛状皮瓣尿道成形术的变体。该技术的原则包括在不切断尿道板的情况下对其进行游离，松解阴茎下弯，在阴茎背侧皮肤形成带蒂岛状皮瓣，该皮瓣带有多余的血管化组织，通过纽扣孔操作转移至阴茎腹侧，将皮瓣覆盖于游离的尿道板上，用宽大的皮瓣蒂部覆盖所有缝线。在过去3年中，对92例年龄在12个月至19岁的重度尿道下裂患者实施了该手术。并发症发生率为5%。
